Individual
MR. ADAM MICHAEL SANTACROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
20726 W PENNSYLVANIA AVE, DUNNELLON, FL 34431-6717
(352) 465-5880
(352) 465-5889
Mailing address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
(352) 465-5880
(352) 465-5889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106898
MEDICARE ID
FL
Enumeration date
01/22/2009
Last updated
01/22/2009
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